| Jill Mertinke, Lcpc | |
|
25 Main St Ste 5 Machias ME 04654-1165 | |
| (207) 255-4833 | |
| Not Available |
| Full Name | Jill Mertinke, Lcpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 25 Main St Ste 5, Machias, Maine |
| Authorized Official Name and Position | Jill Mertinke (CEO) |
| Authorized Official Contact | 2072554833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Mertinke, Lcpc 107 Dwelley Rd East Machias ME 04630-4003 Ph: (207) 255-4833 | Jill Mertinke, Lcpc 25 Main St Ste 5 Machias ME 04654-1165 Ph: (207) 255-4833 |
| NPI Number | 1790093045 |
|---|---|
| Provider Enumeration Date | 09/21/2010 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790093045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC2367 (Maine) | Primary |
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